Skip to main content

Bladder Lymphoma and Leukemia

  • Chapter
  • First Online:
Urinary Bladder Pathology
  • 729 Accesses

Abstract

The urinary bladder is rarely involved by hematopoietic neoplasms (lymphoma and leukemia). Lymphomas represent approximately 0.2% of all neoplasms of the bladder. Bladder lymphomas can be either primary or secondary to systemic lymphomas. Primary bladder lymphomas are extremely rare and most commonly seen in middle-aged women. Marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is the most common primary bladder lymphoma. Some studies suggest that primary bladder lymphomas may be associated with chronic cystitis, but this relationship is controversial. Primary bladder lymphomas are generally thought to be indolent with a favorable prognosis. Secondary bladder lymphomas are much more common, usually occurring in patients with systemic lymphomas at an advanced stage. Chronic lymphocytic leukemia/small lymphocytic lymphoma and diffuse large B-cell lymphoma are the most common secondary bladder lymphomas. The prognosis of patients with secondary bladder lymphomas is poor. In contrast to lymphomas, acute leukemia involving the bladder is less frequent. The acute leukemia in the bladder includes acute myeloid leukemia, B-lymphoblastic leukemia/lymphoma, or T-lymphoblastic leukemia/lymphoma, with the acute myeloid leukemia being more often than the lymphoblastic leukemia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Bates AW, Norton AJ, Baithun SI. Malignant lymphoma of the urinary bladder: a clinicopathological study of 11 cases. J Clin Pathol. 2000;53(6):458–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Hughes M, Morrison A, Jackson R. Primary bladder lymphoma: management and outcome of 12 patients with a review of the literature. Leuk Lymphoma. 2005;46(6):873–7.

    Article  PubMed  Google Scholar 

  3. Kempton CL, Kurtin PJ, Inwards DJ, Wollan P, Bostwick DG. Malignant lymphoma of the bladder: evidence from 36 cases that low-grade lymphoma of the MALT-type is the most common primary bladder lymphoma. Am J Surg Pathol. 1997;21(11):1324–33.

    Article  CAS  PubMed  Google Scholar 

  4. Ohsawa M, Aozasa K, Horiuchi K, Kanamaru A. Malignant lymphoma of bladder. Report of three cases and review of the literature. Cancer. 1993;72(6):1969–74.

    Article  CAS  PubMed  Google Scholar 

  5. Simpson RH, Bridger JE, Anthony PP, James KA, Jury I. Malignant lymphoma of the lower urinary tract. A clinicopathological study with review of the literature. Br J Urol. 1990;65(3):254–60.

    Article  CAS  PubMed  Google Scholar 

  6. Mahfoud T, Tanz R, Mesmoudi M, Khmamouche MR, El Khannoussi B, Ichou M, et al. Primary non-Hodgkin’s lymphoma of the bladder: case report and literature review. Pan Afr Med J. 2013;15:136.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Wong-You-Cheong JJ, Woodward PJ, Manning MA, Sesterhenn IA. From the Archives of the AFIP: neoplasms of the urinary bladder: radiologic-pathologic correlation. Radiographics. 2006;26(2):553–80.

    Article  PubMed  Google Scholar 

  8. Venyo AK. Lymphoma of the urinary bladder. Adv Urol. 2014;2014:327917.

    PubMed  PubMed Central  Google Scholar 

  9. Al-Maghrabi J, Kamel-Reid S, Jewett M, Gospodarowicz M, Wells W, Banerjee D. Primary low-grade B-cell lymphoma of mucosa-associated lymphoid tissue type arising in the urinary bladder: report of 4 cases with molecular genetic analysis. Arch Pathol Lab Med. 2001;125(3):332–6.

    Article  CAS  PubMed  Google Scholar 

  10. Cohen DD, Lamarre C, Lamarre L, Fs FS. Primary low-grade B-cell lymphoma of the urinary bladder: case report and literature review. Can J Urol. 2002;9(6):1694–7.

    PubMed  Google Scholar 

  11. Fernandez Acenero MJ, Martin Rodilla C, Lopez Garcia-Asenjo J, Coca Menchero S, Sanz EJ. Primary malignant lymphoma of the bladder. Report of three cases. Pathol Res Pract. 1996;192(2):160–3. discussion 4–5

    Article  CAS  PubMed  Google Scholar 

  12. Sufrin G, Keogh B, Moore RH, Murphy GP. Secondary involvement of the bladder in malignant lymphoma. J Urol. 1977;118(2):251–3.

    Article  CAS  PubMed  Google Scholar 

  13. Jones MW. Primary Hodgkin’s disease of the urinary bladder. Br J Urol. 1989;63(4):438.

    Article  CAS  PubMed  Google Scholar 

  14. Mearini E, Zucchi A, Costantini E, Fornetti P, Tiacci E, Mearini L. Primary Burkitt’s lymphoma of bladder in patient with AIDS. J Urol. 2002;167(3):1397–8.

    Article  CAS  PubMed  Google Scholar 

  15. Lobo J, Henrique R, Monteiro P, Lobo C. ALK-negative anaplastic large cell lymphoma with urinary bladder involvement diagnosed in urine cytology: a case report and literature review. Diagn Cytopathol. 2017;45(4):354–8.

    Article  PubMed  Google Scholar 

  16. Chen H, Li Y, Nand S, Quek ML, Kini AR, Barkan GA. Anaplastic large cell lymphoma involving the urinary bladder: a case report and review of the literature. Diagn Cytopathol. 2015;43(1):60–5.

    Article  PubMed  Google Scholar 

  17. Mourad WA, Khalil S, Radwi A, Peracha A, Ezzat A. Primary T-cell lymphoma of the urinary bladder. Am J Surg Pathol. 1998;22(3):373–7.

    Article  CAS  PubMed  Google Scholar 

  18. Pai SA, Naresh KN, Patil PU. Systemic anaplastic large cell lymphoma presenting as a bladder neoplasm. Leuk Lymphoma. 2004;45(4):841–3.

    Article  PubMed  Google Scholar 

  19. Desai V, Isharwal S, Pooli A, Lele S, Feloney M. Chronic lymphocytic leukemia of the bladder: an atypical etiology of gross hematuria. Ther Adv Urol. 2014;6(5):198–200.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Ramadan KM, Kyle A, McManus D, O’Rourke D, Cuthbert RJ. Urinary bladder infiltration with chronic B-lymphocytic leukemia: two cases with unusual presentation. Leuk Lymphoma. 2006;47(6):1184–7.

    Article  PubMed  Google Scholar 

  21. Carver JD, Calverley D, Shen P. Chronic lymphocytic leukemia/small lymphocytic lymphoma presenting in urinary bladder without peripheral blood lymphocytosis: case report and literature review. Leuk Lymphoma. 2006;47(6):1163–5.

    Article  PubMed  Google Scholar 

  22. Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood. 2016;127(20):2375–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Tsimberidou AM, Wen S, McLaughlin P, O’Brien S, Wierda WG, Lerner S, et al. Other malignancies in chronic lymphocytic leukemia/small lymphocytic lymphoma. J Clin Oncol. 2009;27(6):904–10.

    Article  PubMed  Google Scholar 

  24. Gajendra S, Sharma R, Sahoo MK. Triple cancer: chronic lymphocytic leukemia with bladder and prostate carcinoma. Malays J Pathol. 2015;37(2):159–63.

    PubMed  Google Scholar 

  25. Al-Quran SZ, Olivares A, Lin P, Stephens TW, Medeiros LJ, Abruzzo LV. Myeloid sarcoma of the urinary bladder and epididymis as a primary manifestation of acute myeloid leukemia with inv(16). Arch Pathol Lab Med. 2006;130(6):862–6.

    Article  PubMed  Google Scholar 

  26. Pham A, Steinberg A, Kwok B, Lopez A, Lim S, Lill M. Precursor T-Cell acute lymphoblastic leukemia/lymphoma with rare presentation in the urinary bladder. Hematol Rep. 2011;3(2):e18.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Chang CY, Chiou TJ, Hsieh YL, Cheng SN. Leukemic infiltration of the urinary bladder presenting as uncontrollable gross hematuria in a child with acute lymphoblastic leukemia. J Pediatr Hematol Oncol. 2003;25(9):735–9.

    Article  PubMed  Google Scholar 

  28. Delhi Kumar CG, Thilagavathy V, Arun BT. Granulocytic sarcoma of bladder in an 18-mo-old child with acute myeloid leukemia. Indian J Pediatr. 2014;81(10):1118–9.

    Article  CAS  PubMed  Google Scholar 

  29. Moch HHP, Ulbright TM, Reuter V. WHO classification of tumours of the urinary system and male genital organs. Lyon: International Agency for Research on Cancer; 2016.

    Google Scholar 

  30. Lopez-Beltran A, Henriques V, Montironi R, Cimadamore A, Raspollini MR, Cheng L. Variants and new entities of bladder cancer. Histopathology. 2019;74(1):77–96.

    Article  PubMed  Google Scholar 

  31. Keck B, Stoehr R, Wach S, Rogler A, Hofstaedter F, Lehmann J, et al. The plasmacytoid carcinoma of the bladder--rare variant of aggressive urothelial carcinoma. Int J Cancer. 2011;129(2):346–54.

    Article  CAS  PubMed  Google Scholar 

  32. Lopez-Beltran A, Requena MJ, Montironi R, Blanca A, Cheng L. Plasmacytoid urothelial carcinoma of the bladder. Hum Pathol. 2009;40(7):1023–8.

    Article  PubMed  Google Scholar 

  33. Amin MB, Trpkov K, Lopez-Beltran A, Grignon D. Members of the IIiDUPG. Best practices recommendations in the application of immunohistochemistry in the bladder lesions: report from the International Society of Urologic Pathology consensus conference. Am J Surg Pathol. 2014;38(8):e20–34.

    Article  PubMed  Google Scholar 

  34. Borhan WM, Cimino-Mathews AM, Montgomery EA, Epstein JI. Immunohistochemical differentiation of plasmacytoid urothelial carcinoma from secondary carcinoma involvement of the bladder. Am J Surg Pathol. 2017;41(11):1570–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. James You .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Xu, J., Li, S., You, M.J. (2021). Bladder Lymphoma and Leukemia. In: Zhou, H., Guo, C.C., Ro, J.Y. (eds) Urinary Bladder Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-71509-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-71509-0_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-71508-3

  • Online ISBN: 978-3-030-71509-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics